Individual provider Active NPI

Meghan Mizrachi, P.T.

  • Physical Therapist
  • New York, NY
National Provider Identifier
1871940874
Registry record updated Feb 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
040132 Issued in NY
Practice address
1556 3Rd Ave
Ste 211
New York, NY 10128-3100
Phone
(212) 353-8693
Fax
(347) 507-5510
NPI assigned
May 19, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 40QA01709300 NJ
Physical Therapist 225100000X 040132 NY Primary

Addresses

Primary practice location

1556 3Rd Ave
Ste 211
New York, NY 10128-3100

Mailing address

525 Washington Blvd
Club Metro
Jersey City, NJ 07310-1606
Phone (201) 473-4654

Other identifiers 1

IdentifierTypeStateIssuer
040132OtherNYSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
040132NYMDPharmacist
40QA01709300NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rise PT OT Speech Nutrition PLLC Physical Therapist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1463616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549324800000",
    "number": "1871940874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 WASHINGTON BLVD",
            "address_2": "CLUB METRO",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073101606",
            "telephone_number": "201-473-4654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1556 3RD AVE",
            "address_2": "STE 211",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101283100",
            "telephone_number": "212-353-8693",
            "fax_number": "347-507-5510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIZRACHI",
        "first_name": "MEGHAN",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-19",
        "last_updated": "2019-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01709300",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "040132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "040132",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.